• Title/Summary/Keyword: Chain of events

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Molecular Analysis of Carbapenem-Resistant Enterobacteriaceae at a South Korean Hospital

  • Lee, Miyoung;Choi, Tae-Jin
    • Microbiology and Biotechnology Letters
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    • v.48 no.3
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    • pp.389-398
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    • 2020
  • The prevalence of carbapenem-resistant Enterobacteriaceae (CRE) is increasing globally, resulting in high mortality rates. Although CRE is a relatively recent problem in Korea (the first case was not diagnosed until 2010), it is responsible for serious morbidities at an alarming rate. In this study, we carried out a molecular genetic analysis to determine the incidence of CRE and carbapenemase-producing Enterobacteriaceae (CPE) at a general hospital in Korea between August 2017 and August 2019. Forty strains of CPE were isolated from various clinical specimens and analyzed via antimicrobial susceptibility testing, polymerase chain reaction to detect β-lactamase genes, deoxyribonucleic acid sequencing, multilocus sequence typing, curing testing, and conjugal transfer of plasmids. The results demonstrated that all 40 isolates were multidrug-resistant. The fluoroquinolone susceptibility test showed that 75% of the Enterobacteriaceae isolates were resistant to ciprofloxacin, whereas 72.5% were resistant to trimethoprim-sulfamethoxazole. Further, conjugation accounted for 57.5% of all resistant plasmid transfer events, which is 4.3-fold higher than that observed in 2010 by Frost et al. Finally, the high detection rate of transposon Tn4401 was associated with the rapid diffusion and evolution of CPE. Our results highlight the rapid emergence of extensively drugresistant strains in Korea and emphasize the need for employing urgent control measures and protocols at the national level.

A Case of Statin-Induced Interstitial Pneumonitis due to Rosuvastatin

  • Kim, Se Yong;Kim, Se Jin;Yoon, Doran;Hong, Seung Wook;Park, Sehhoon;Ock, Chan-Young
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.281-285
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    • 2015
  • Statins lower the hyperlipidemia and reduce the incidence of cardiovascular events and related mortality. A 60-year-old man who was diagnosed with a transient ischemic attack was started on acetyl-L-carnitine, cilostazol, and rosuvastatin. After rosuvastatin treatment for 4 weeks, the patient presented with sudden onset fever, cough, and dyspnea. His symptoms were aggravated despite empirical antibiotic treatment. All infectious pathogens were excluded based on results of culture and polymerase chain reaction of the bronchoscopic wash specimens. Chest radiography showed diffuse ground-glass opacities in both lungs, along with several subpleural ground-glass opacity nodules; and a foamy alveolar macrophage appearance was confirmed on bronchoalveolar lavage. We suspected rosuvastatin-induced lung injury, discontinued rosuvastatin and initiated prednisolone 1 mg/kg tapered over 2weeks. After initiating steroid therapy, his symptoms and radiologic findings significantly improved. We suggest that clinicians should be aware of the potential for rosuvastatin-induced lung injury.

Three-dimensional Numerical Modeling of Water Temperature and Internal Waves in a Large Stratified Lake (대형 성층 호수의 수온과 내부파의 3차원 수치 모델링)

  • Chung, Se-Woong;Schladow, S. Geoffrey
    • Journal of Korean Society on Water Environment
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    • v.31 no.4
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    • pp.367-376
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    • 2015
  • The momentum and kinetic turbulent energy carried by the wind to a stratified lake lead to basin-scale motions, which provide a major driving force for vertical and horizontal mixing. A three-dimensional (3D) hydrodynamic model was applied to Lake Tahoe, located between California and Nevada, USA, to simulate the dominant basin-scale internal waves in the deep lake. The results demonstrated that the model well represents the temporal and vertical variations of water temperature that allows the internal waves to be energized correctly at the basin scale. Both the model and thermistor chain (TC) data identified the presence of Kelvin modes and Poincare mode internal waves. The lake was weakly stratified during the study period, and produced large amplitude (up to 60 m) of internal oscillations after several wind events and partial upwelling near the southwestern lake. The partial upwelling and followed coastal jets could be an important feature of basin-scale internal waves because they can cause re-suspension and horizontal transport of fine particles from nearshore to offshore. The internal wave dynamics can be also associated with the distributions of water quality variables such as dissolved oxygen and nutrients in the lake. Thus, the basin-scale internal waves and horizontal circulation processes need to be accurately modeled for the correct simulation of the dissolved and particulate contaminants, and biogeochemical processes in the lake.

Study on the Transport Reliability Concerning Risks Scenarios (위험사건(Risk)발생 시나리오를 고려한 운송 신뢰성 연구)

  • Kim, Eun-Ji;Ganbat, Enkhtsetseg;Kim, Hwan-seong
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2015.10a
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    • pp.256-257
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    • 2015
  • The trend of globalization and the development of the communication-Information technology not only complexified the supply chain, but also, led to the needs of the high quality of logistics service for customers. I t defines risks that can occur in truck transport under unexpected situation with Fault Tree Analysis(FTA) and calculates failure rate concerning relationship between each risks. Based on the 4 kinds of middle failure events that defined in FTA, Reliability function which is regarded about risks sequentiality and time flow is resulted in. I t is meaningful that it calculates reliability of logistics and transportation system with engineering methodology.

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Effect of Continuity Rate on Multistage Logistic Network Optimization under Disruption Risk

  • Rusman, Muhammad;Shimizu, Yoshiaki
    • Industrial Engineering and Management Systems
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    • v.12 no.2
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    • pp.74-84
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    • 2013
  • Modern companies have been facing devastating impacts from unexpected events such as demand uncertainties, natural disasters, and terrorist attacks due to the increasing global supply chain complexity. This paper proposes a multi stage logistic network model under disruption risk. To formulate the problem practically, we consider the effect of continuity rate, which is defined as a percentage of ability of the facility to provide backup allocation to customers in the abnormal situation and affect the investments and operational costs. Then we vary the fixed charge for opening facilities and the operational cost according to the continuity rate. The operational level of the company decreases below the normal condition when disruption occurs. The backup source after the disrup-tion is recovered not only as soon as possible, but also as much as possible. This is a concept of the business continuity plan to reduce the recovery time objective such a continuity rate will affect the investments and op-erational costs. Through numerical experiments, we have shown the proposed idea is capable of designing a resilient logistic network available for business continuity management/plan.

Molecular Genetics of the Model Legume Medicago truncatula

  • Nam, Young-Woo
    • The Plant Pathology Journal
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    • v.17 no.2
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    • pp.67-70
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    • 2001
  • Medicago truncatula is a diploid legume plant related to the forage crop alfalfa. Recently, it has been chosen as a model species for genomic studies due to its small genome, self-fertility, short generation time, and high transformation efficiency. M. truncatula engages in symbiosis with nitrogen-fixing soil bacterium Rhizobium meliloti. M. truncatula mutants that are defective in nodulation and developmental processes have been generated. Some of these mutants exhibited altered phenotypes in symbiotic responses such as root hair deformation, expression of nodulin genes, and calcium spiking. Thus, the genes controlling these traits are likely to encode functions that are required for Nod-factor signal transduction pathways. To facilitate genome analysis and map-based cloning of symbiotic genes, a bacterial artificial chromosome library was constructed. An efficient polymerase chain reaction-based screening of the library was devised to fasten physical mapping of specific genomic regions. As a genomics approach, comparative mapping revealed high levels of macro- and microsynteny between M. truncatula and other legume genomes. Expressed sequence tags and microarray profiles reflecting the genetic and biochemical events associated with the development and environmental interactions of M. truncatula are assembled in the databases. Together, these genomics programs will help enrich our understanding of the legume biology.

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Enhancing the radar-based mean areal precipitation forecasts to improve urban flood predictions and uncertainty quantification

  • Nguyen, Duc Hai;Kwon, Hyun-Han;Yoon, Seong-Sim;Bae, Deg-Hyo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.123-123
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    • 2020
  • The present study is aimed to correcting radar-based mean areal precipitation forecasts to improve urban flood predictions and uncertainty analysis of water levels contributed at each stage in the process. For this reason, a long short-term memory (LSTM) network is used to reproduce three-hour mean areal precipitation (MAP) forecasts from the quantitative precipitation forecasts (QPFs) of the McGill Algorithm for Precipitation nowcasting by Lagrangian Extrapolation (MAPLE). The Gangnam urban catchment located in Seoul, South Korea, was selected as a case study for the purpose. A database was established based on 24 heavy rainfall events, 22 grid points from the MAPLE system and the observed MAP values estimated from five ground rain gauges of KMA Automatic Weather System. The corrected MAP forecasts were input into the developed coupled 1D/2D model to predict water levels and relevant inundation areas. The results indicate the viability of the proposed framework for generating three-hour MAP forecasts and urban flooding predictions. For the analysis uncertainty contributions of the source related to the process, the Bayesian Markov Chain Monte Carlo (MCMC) using delayed rejection and adaptive metropolis algorithm is applied. For this purpose, the uncertainty contributions of the stages such as QPE input, QPF MAP source LSTM-corrected source, and MAP input and the coupled model is discussed.

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Future flood frequency analysis from the heterogeneous impacts of Tropical Cyclone and non-Tropical Cyclone rainfalls in the Nam River Basin, South Korea

  • Alcantara, Angelika;Ahn, Kuk-Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.139-139
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    • 2021
  • Flooding events often result from extreme precipitations driven by various climate mechanisms, which are often disregarded in flood risk assessments. To bridge this gap, we propose a climate-mechanism-based flood frequency analysis that accommodates the direct linkage between the dominant climate processes and risk management decisions. Several statistical methods have been utilized in this approach including the Markov Chain analysis, K-nearest neighbor (KNN) resampling approach, and Z-score-based jittering method. After that, the impacts of climate change are associated with the modification of the transition matrix (TM) and the application of the quantile mapping approach. For this study, we have selected the Nam River Basin, South Korea, to consider the heterogeneous impacts of the two climate mechanisms, including the Tropical Cyclone (TC) and non-TCs. Based on our results, while both climate mechanisms have significant impacts on future flood extremes, TCs have been observed to bring more significant and immediate impacts on the flood extremes. The results in this study have proven that the proposed approach can lead to a new insights into future flooding management.

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Event date model: a robust Bayesian tool for chronology building

  • Philippe, Lanos;Anne, Philippe
    • Communications for Statistical Applications and Methods
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    • v.25 no.2
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    • pp.131-157
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    • 2018
  • We propose a robust event date model to estimate the date of a target event by a combination of individual dates obtained from archaeological artifacts assumed to be contemporaneous. These dates are affected by errors of different types: laboratory and calibration curve errors, irreducible errors related to contaminations, and taphonomic disturbances, hence the possible presence of outliers. Modeling based on a hierarchical Bayesian statistical approach provides a simple way to automatically penalize outlying data without having to remove them from the dataset. Prior information on individual irreducible errors is introduced using a uniform shrinkage density with minimal assumptions about Bayesian parameters. We show that the event date model is more robust than models implemented in BCal or OxCal, although it generally yields less precise credibility intervals. The model is extended in the case of stratigraphic sequences that involve several events with temporal order constraints (relative dating), or with duration, hiatus constraints. Calculations are based on Markov chain Monte Carlo (MCMC) numerical techniques and can be performed using ChronoModel software which is freeware, open source and cross-platform. Features of the software are presented in Vibet et al. (ChronoModel v1.5 user's manual, 2016). We finally compare our prior on event dates implemented in the ChronoModel with the prior in BCal and OxCal which involves supplementary parameters defined as boundaries to phases or sequences.

A Failure Analysis on the Broken Last Blade of 30MW Steam Turbine (30MW 증기터빈 최종단 회전익 파단 사고 분석)

  • Kim, S.B.;Kim, I.C.;Han, S.W.;Jun, C.H.
    • Journal of Power System Engineering
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    • v.11 no.1
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    • pp.5-15
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    • 2007
  • In the recently released accident-investigation report on blade failure, almost 70% of blade failures was found at low pressure turbine blades, and it is well known that main cause is due to the vibration modes. This paper describes the systematic approach on the root cause of the blade failure at L 0 stage, 30MW single flow industrial steam turbine which had tripped by high vibration after ten-month commercial operation. A fracture was found at the only one damping wire hole of 59 blades, and crack was detected at three damping wire holes by NDT. According to the analysis result for the crack fracture surface and the chain of the sequential operational events, we come to the conclusion that a typical high cycle fatigue is the most dominant factor caused to the blade failure, the resonance frequency margin was narrowed by the cut damping wire and the high cycle vibration was amplified, and then the blade was broken at once by the centrifugal force when the crack reached the critical size.

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